3Glaucoma =Optic neuropathyThe evaluation of the appearance of the optic disc is central to the diagnosis and management of GlaucomaOptic Disc Evaluation:Why..?How..?What to look for..?

4The 4 goals of optic disc evaluationDistinguishing between the healthy and the sick =Diagnosing.Quantifying the amount of damage: Healthy,Mild,Moderate,Advanced DiseaseMonitoring Change,for better or for worseQuantitating the rate of change

24Optic Disc Hemorrhage Splinter or Flame shaped hemorrhagesAt the margin of the discHallmark of Glaucomatous optic nerve damage4 to 7 % of eyes with galucomaFound in early & moderately advanced Glaucoma and rare in very advanced stageLocated usually in the inferotemporal & superotemporal disc marginsAssociated with localized RNFL defect and neuroretinal rim notches .Suggests Progression.More common in NTG